在手部和上肢手术中使用远程医疗的患者的特征
Oluleke Falade1, Maria A Munsch2, Luke Latario2
1School of Medicine, University of Pittsburgh, PA, USA.
概括
手部手术中的远程医疗主要服务于贫困地区的老年患者,可能改善面临地理和经济障碍的人的获取. 这项技术有助于为服务不足的人群提供后续护理.
科学领域:
- 整形外科手术 整形外科手术
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 健康的社会决定因素对医疗保健的获取和结果产生重大影响.
- 远程医疗的广泛采用已经改变了医疗保健的提供.
- 这项研究检查了远程医疗在手术中的使用,独立于COVID-19的限制.
研究的目的:
- 描述使用远程医疗进行手术的患者.
- 评估患者人口统计,地理位置和社会经济地位 (区域贫困指数) 与手术中远程医疗使用之间的关系.
主要方法:
- 一年来4名手术医生的远程医疗遭遇的回顾性审查.
- 收集的数据包括患者人口统计,遭遇类型,居住距离和区域贫困指数 (ADI).
主要成果:
- 分析了60次远程医疗接触.
- 大多数患者是建立的 (73.3%),居住在高ADI地区 (72%),居住在离诊所18英里的中位数.
- 在低和高ADI患者组之间,在人口统计学或遭遇类型方面没有发现显著差异.
结论:
- 手术中的远程医疗主要用于高ADI社区的患者的随访,这些社区通常位于离诊所很远的地方.
- 远程医疗可以提高手术后续护理的准入,特别是面临社会经济和地理挑战的患者.
- 区域贫困指数与季节性远程医疗使用,遭遇类型或患者人口统计学无关.
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